Loading...
OPHTE# f2. -�; - -72'- "2- Harnett County Department of Public Health PERMIT # 1-7a , Operation Permit 22494 ©` New Installation ❑/ Septic Tank ❑' Nitrification Line ❑ Repair ❑ Expansion i r PROPERTY LOCATION:6� Name: (owner) ' ( SUBDIVISION 0 LOT # System Installer: (;I -a) kA -17--3 Registration # Basement with plumbing: ❑ Garage C�',,Number of Bedrooms 3 Type of Water Supply: El Community �®°'' Public ❑ Well Distance from well feet System Type: -7 . "mss 7 6, 6 ��Types V and VI Systems expire in 5 years. (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the G- G G.y I i V# 3 T�. with Rule .1961. l Yes ❑No❑ ial operation conditions, maintenance and reporting. Permit and Construction Authorization. ❑ 8 PERMIT CONDITIONS: � I. Performance: System shall pe`rtorn II. Monitoring: As required by Rule III. Maintenance: As required by Rule Septic Tank: gallons Pump Tank: gallons Subsurface system o No. of If yes, see attached IV. Operation: Drainage Field ditches V. Other: ditches feet ditches inches G- G G.y I i V# 3 T�. with Rule .1961. l Yes ❑No❑ ial operation conditions, maintenance and reporting. Permit and Construction Authorization. ❑ D -Box ❑ Pump ❑ u Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional Other i "� !;4, i` � Septic Tank: gallons Pump Tank: gallons Subsurface No. of exact length 11-10 width of depth of Drainage Field ditches of each ditch feet ditches feet ditches inches French Drain Required: Linear feet Authorized State A¢elatry - -" _ _ °5� Date 12 -5- 29402(1) 12 -5 -29402 (2) 12 -5 -29402 (3) 12 -5 -29402 (4) 12 -5 -29402 (5) 12 -5 -29402 (6) 12 -5 -29402 (7) 12 -5 -29402 (8) 12 -5 -29402 (9) 12 -5 -29402 (10)